Ashley Wietz Nottebart, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Austin, TX
NPI 1154059780 · NPPES record last updated Aug 11, 2022
Key facts
- NPI
- 1154059780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1088487 (TX)
- Practice address
- 5424 W US Hwy 290 Service Rd
Austin, TX 78735 - Phone
- (512) 430-1130
- Fax
- (512) 677-6806
- NPI assigned
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1088487 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Austin Psychiatry & Wellness PLLC | Psychiatric/Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1088487 | TX | Yes |
Addresses
Primary practice location
5424 W US Hwy 290 Service Rd
Austin, TX 78735
Mailing address
5424 W US 290 Hwy Service Rd
Austin, TX 78735
Phone (512) 430-1130
Other providers in Austin, TX
- Katalin Norwood
- Paris M Norwood
- Stephen M Norwood
- Natalia Norzagaray
- Richard McKinley Noster
- Nourish Counseling, LLC
- Nourish Well LLC
- Nourish, Inc.
- Nourish. an Integrative Medical Practice, PLLC
- Nourished Roots LLC
All providers in Austin, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.